Genito-Urinary Trauma

INVESTIGATION AREA OF INTEREST INDICATIONS MANAGEMENT
Retrograde urethrogram Urethral Meatal blood
Penile/Scrotal/Perineal haematoma
Cannot pass IDC in female
Gross haematuria
High-riding prostate
Urology consult to insert urethral catheter
else Suprapubic catheter
Admit
Urology review next day
Retrograde cystogram Bladder Pelvic #
Haematuria
Extraperitoneal rupture
  • IDC
  • Immediate repair (if concurrent laparotomy, easy access and no retroperitoneal haematoma)

Intraperitoneal rupture

  • Semi-urgent repair
IVP/CT nephrogram Kidney/Ureter Gross haematuria
Flank pain/Mass
Hypotensive episode
Penetrating flank trauma
Immediate laparotomy if shocked or urinary extravasation